Roles and Responsibilities: Verify Patient Insurance Coverage: Contact insurance companies via phone or online portals to confirm patient eligibility and coverage details. Document policy status, effective dates, plan types, and group/member IDs accurately. Determine Benefits and Coverage: Obtain detailed information about insurance benefits, including co-pays, deductibles, out-of-pocket maximums, and coverage limitations. Verify authorization requirements and referral needs for services. Accurate Data Entry and Record Keeping: Input verified insurance details into the practice management or electronic health record (EHR) system. Maintain organized and up-to-date patient insurance records. Handle Insurance Updates and Changes: Monitor and update changes in insurance plans, policies, or carriers to ensure claim accuracy. Address lapses in coverage and guide patients in resolving coverage issues. Experience: Minimum 6 month of experience in same field PIP, Auto & WC insurance experience Salary & Shift Timing: Salary as per industry and experience Night Shift (5:30pm IST to 2:30am IST) Show more Show less
Role Description This is a full-time on-site role located in Ahmedabad for Accounts Receivable Specialists, Medical Coders & Billers. The role involves performing accurate medical coding, billing, and ensuring timely follow-up on accounts receivable. Responsibilities Reconcile accounts, process refunds, and resolve billing discrepancies. Review patient records and assign appropriate medical codes (CPT, ICD-10, HCPCS). Ensure coding accuracy for billing and insurance claims. Stay updated on coding guidelines and regulations. Collaborate with healthcare providers to clarify documentation. Prepare and submit insurance claims based on coded medical records. Follow up on claim approvals, denials, and appeals. Communicate with insurance companies and patients regarding billing inquiries. Qualifications Proficiency in Medical Coding and Medical Terminology Coding Experience with knowledge of Health Information Management Relevant certifications such as CPC (Certified Professional Coder) Excellent analytical and problem-solving skills Strong attention to detail and organizational skills Ability to work independently and collaboratively in a team Experience with healthcare billing systems and software is a plus Bachelor's degree Job Details Experience - 1+ years Shift - Night and Mid-Shift Location - Ahmedabad Work from Office only Salary - As per industry standards,
Role Description: Certified Medical Coder, Medical Biller & AR Executive (Full-Time, On-Site) We are seeking a detail-oriented and experienced Certified Medical Coder, Medical Biller and Accounts Receivable (AR) Executive to join our team. This full-time, on-site role involves handling the complete revenue cycle management process, from accurate coding and billing to timely follow-up on claims and payments. Key Responsibilities: Review and assign appropriate medical codes (ICD-10, CPT, HCPCS) to ensure compliance with payer and regulatory requirements. Prepare and submit accurate medical claims to insurance companies, government payers, and patients. Track, monitor, and manage accounts receivable to ensure timely reimbursement. Identify, research, and resolve claim denials, rejections, and discrepancies. Follow up with insurance companies, providers, and patients regarding outstanding claims and balances. Maintain up-to-date knowledge of coding guidelines, insurance policies, and billing regulations. Generate reports related to billing, collections, and AR performance. Collaborate with healthcare providers and internal teams to optimize revenue cycle efficiency. Qualifications & Skills: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification preferred. Proven experience in medical coding, billing or AR management. Strong understanding of ICD-10, CPT, HCPCS, and payer guidelines. Proficiency in medical billing software and electronic health records (EHR). Excellent communication, problem-solving, and organizational skills. Ability to work independently as well as part of a team with strong attention to detail.
You will be responsible for verifying patient insurance coverage by contacting insurance companies via phone or online portals to confirm patient eligibility and coverage details. It is essential to accurately document policy status, effective dates, plan types, and group/member IDs. Additionally, you will need to determine benefits and coverage by verifying authorization requirements and referral needs for services. Accurate data entry and record-keeping are crucial aspects of the role, involving inputting verified insurance details into the practice management or electronic health record (EHR) system and maintaining organized and up-to-date patient insurance records. Monitoring and updating changes in insurance plans, policies, or carriers to ensure claim accuracy will also be part of your duties. You will be expected to address lapses in coverage and guide patients in resolving coverage issues. To be considered for this position, you should have a minimum of 6 months of experience in the same field, particularly in PIP, Auto & WC insurance. The salary offered will be as per industry standards and experience level, and the shift timing will be during the night from 5:30 pm IST to 2:30 am IST.,
As a Patient Insurance Verification Specialist, your primary responsibility will be to verify patient insurance coverage by contacting insurance companies either via phone or online portals to confirm patient eligibility and coverage details. It is essential to accurately document policy status, effective dates, plan types, and group/member IDs. Your key responsibilities will include: - Determining benefits and coverage by verifying authorization requirements and referral needs for services. - Ensuring accurate data entry by inputting verified insurance details into the practice management or electronic health record (EHR) system. - Maintaining organized and up-to-date patient insurance records for easy access and reference. - Handling insurance updates and changes by monitoring and updating changes in insurance plans, policies, or carriers to ensure claim accuracy. - Addressing lapses in coverage and guiding patients in resolving coverage issues effectively. In terms of qualifications, the ideal candidate should possess: - Minimum 6 months of experience in the same field. - Experience with PIP, Auto & WC insurance will be an added advantage. Please note that the salary for this position will be as per industry standards and commensurate with experience. Additionally, the shift timings for this role will be night shift from 5:30 pm IST to 2:30 am IST. Should you have any further questions or require more information, please feel free to reach out.,